title: Spontaneous intrahepatic portosystemic venous shunt in a patient with cirrhosis: diagnosis by combined color Doppler and pulsed Doppler ultrasonography.
abstract: Large spontaneous intrahepatic portosystemic venous shunts are occasionally found and their diagnosis by Doppler sonography is rarely reported. The authors describe a case of spontaneous intrahepatic porto-systemic venous shunt in liver cirrhosis diagnosed by color Doppler and characterized by an unusual pulsed Doppler spectrum: a continuous flat portal-like pattern of flow in the portal branch, and in both the shunt and the hepatic vein.
authors.affiliation: Department of Internal Medicine, University, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Grattagliano
authors.forename: G L
authors.initials: GL
authors.lastname: Rapaccini
authors.forename: G
authors.initials: G
authors.lastname: Camaldo
authors.forename: M
authors.initials: M
authors.lastname: Pompili
authors.forename: P
authors.initials: P
authors.lastname: Marino
authors.forename: A M
authors.initials: AM
authors.lastname: Mastromatteo
authors.forename: A R
authors.initials: AR
authors.lastname: Cotroneo
authors.forename: G
authors.initials: G
authors.lastname: Gasbarrini
mesh_terms: D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006503:Hepatic Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000098:blood supply*; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D011169:Portal Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011172:Portography; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D018616:Ultrasonography, Doppler, Duplex